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Help!!! Should I keep ileostomy or opt for J-Pouch


Wed, May 27, 2009 12:41 PM

I am a 29 yr. old wife and mother of two beautiful daughters.  I recently had a baby in June of 08' and that is when my problems manifested.  I was finally diagnosed with severe ulcerative colitis in November of 08' and spent 3 straight months in the hospital.  I was severely ill, in and out of ICU and had to stop breast feeding my baby in order for them to treat the illness.  I was in the hospital and away from my children for  Thanksgiving, Christmas, New Year's, my oldest daughter's & husband's birthday.  I missed so much time with my loved ones this past year.  My body would not respond to any of the drug treatments (Asacol, Remicade, Prednisone etc.) and I was finally forced to transfer hospitals b/c the facility I was at had done all they could.  I have never been so scared or sick in my life.  I was 100% healthy prior to this disease that took me and my family by storm.  


While in the hospital, I was also hit with pancreatitis and developed a blood clot in my leg.  The Doctor's performed several colonostophy's on me and then changed their diagnosis to Chrone's.  They finally did an emergency surgery on me in January of 09' to remove a foot of my colon and left me with an ileostomy.  My rectum was also left in place in case they could reverse the surgery and do a J-Pouch.  It has now been 5 months since my surgery and the doctor's have sent biopsies of my colon all over the country to determine if it is UC or Chrone's.  The last visit I had declared that they believe it is UC but are not 100% sure and hope they are making the right decision.  Please help me decide if I should keep my illeostomy or proceed with having a J-Pouch put in.  What problems have you had with either?  I'm desperate for someone to talk too b/c I don't know anyone in my area that has had this surgery that I can confide in.  I'm scared to death to get sick again and make things worse on my family.  My 2nd surgery is scheduled for July 22nd but I need your help please!!!!!!

FPO aparson
Joined Feb 19, 2009

Tue, July 07, 2009 12:00 AM

 Reply posted for AParson.

Hi, To find out more on j-pouch. Visit the site WWW.j-pouch.org.  I,myself have uc since 2005 and looking for more imformation about UC and surgery. Good luck n praying for all of us....Hope there a cure

FPO slau
Joined May 16, 2009

Wed, June 24, 2009 10:46 PM

 Reply posted for clparrott80.

I am a 32yo Male.I was diagnosed with UC at age 3.I had and emergency ileostomy at 9.I lived for 8 years with the ostomy with almost no doctor intervention whatsoever.Yearly checkups with the surgeon was it. No meds no medical complications.Kid's however can be cruel so that aspect never made it fun.At 17 I decide to have voluntary J-pouch Surgery.I didn't want to live with a bag forever and the doctors all said that since I showed no signs of the disease the surgery would be fine.

I had the J-Pouch and for another 10 years I saw doctors for a yearly checkup.No flares,Very rare bleeding or and occasional accident while sleeping but I was great. Well enough to start a business and work 60+ hrs a week , meet my wife ,travel and so on. Like I said I had minor issues that I was willing to live with to be as healthy and free as I was.
At 26 It came back.I had severe pain and bleeding and had to find a GI.I had only seen my surgeon for years thats how good I was no Gi doc needed. Turns out I have crohn's pouchitis. They where wrong all the years it wasn't UC it was crohn's.
Over the past several years I have taken the full range of drugs from Cipro to 6mp and Imuran  and remicade and humira.They all worked for a few months but nothing has put me back to where I was before it returned to the -j-pouch.Now my options are maintain and suffer or have a permanent ostomy. One day I will probably have to take this option though I do not look forward to it at all.I have no regrets about the J-pouch I had 10 great years with it that I might not have without it.I say if you can buy 10 years or more with a j-pouch do it worst case it doesn't work or comes back then you can always fall back to a full removal and ostomy.
I wish you good luck and good health:)

FPO m4cg33k
Joined Jun 24, 2009

Tue, June 02, 2009 9:11 PM

 Reply posted for AParson.

I am a 31 yr. old male that was diagnosed with colitis back in feb. 2005. I had flares from minor to severe symptons until the middle of July 2008. By September 2008 I went in for a another colonoscopy, where I was informed that it had extended and was Ulcerative colitis.  I was put on every drug with no results as my condition worsened. By March 2009 I was very sick and underwent another colonsoscopy. Upon waking up I was quickly wheelchaired to a room where I met with my doctor. At this time I was given the worst news possible. I was informed that I my condition was very severe and the disease was nearly spred through the entire colon. I was then immediatley taken to a cancer center, where I was started on my first Remicade treatment. A few days after my I received a call and told that it was showing crohn's. After 3 treatments I was forced to have surgery. I opted for a J-Pouch. I had my first surgery on May 20th, where I received a ileostomy pouch. Since my release I was back in the hospital after only two days. I just recently come back home. I have struggled with the pouch and I am anxious for it to be gone. After the surgery my surgeon informed me that he believed that it was U.C. and my colon needed to come out due to it being very hemmoragic causing sever blood lose.  I will post more after my second surgery.

FPO rifles96
Joined May 7, 2009

Mon, June 01, 2009 6:45 PM

 Reply posted for clparrott80.

By the way, I wanted to ask you what issues did your doctor's express with the J-Pouch?  I'm trying to gather as much information as possible both positive and negative before I go in for my 2nd surgery.

Thanks for all your help!

FPO aparson
Joined Feb 19, 2009

Mon, June 01, 2009 6:43 PM

 Reply posted for clparrott80.

Hi! Thanks for your reply back to my inquiry.  I hate to hear that you are battling this too but on the other hand it's nice to talk to someone who is dealing with the same problems that I am.  My illeostomy has worked wonders for the most part.  I was finally able to start eating again and have managed to start picking up weight.  It has it's down side though.  My skin has recently became extremely inflamed and irritated due to the barrier that is attached to your skin 24/7.  It also takes a lot of mental/emotional adjustment dealing with the new look of your body with a stoma.  That's one of the biggest problems I'm having with it right now.  Other then that, it gave me a second chance at living a half way normal life again.  


I wish you the very best in your decision and surgery in June.  You'll have to let me know how it goes.

Take care of yourself

FPO aparson
Joined Feb 19, 2009

Mon, June 01, 2009 6:36 PM

 Reply posted for alivein315.

Thanks for your input and response back to my inquiry.  It was so hard for my doctor's to come up with a diagnosis because they noticed a skip pattern within my intestines.  All of their biopsies show ulcerative colitis but the skip areas through them for a loop.  It worries me whether or not they are making the right decisions because they keep saying they'll proceed with the ulcerative colitis diagnosis and HOPE that they are right years down the road.  (Not exactly what I wanted to hear...I'm not a fan of doubting diagnosis )

FPO aparson
Joined Feb 19, 2009

Sat, May 30, 2009 3:42 PM

 Reply posted for AParson.

i forgot to ask you why it was so difficult to diagnose you.  I have Ulcerative Colitis and with colitis, the disease is located in my entire large intestine and does not skip around to different areas..like the small intestine.  Crohn's is known to move from one area of the intestines to the other.  It doesn't stay in just one area.  That is one way to know the difference. Blood tests should also help determine the diagnosis as well.

FPO alivein315
Joined May 30, 2009

Sat, May 30, 2009 3:36 PM

hi there.  i am so sorry you are going through all of this. 


1st and foremost, you need a good/great gastro doctor.  i am not sure where you are located, but i'm sure you can locate one in your area if you look hard enough.  it's sad to say that it's not easy to find a good doctor.  most of the time that i have had my disease, i have managed it myself and with minimal direction from a doctor.  in the past 2 years, i have had flares and have needed the guidance and treatment of a good doctor.  i had to go through 2 doctors in order to find my wonderful doctor that i have now.  
the mayo clinic has great expertise in this field and great doctors.  


if i were you, i would go about getting a second opinion from a doctor that you have heard good things about.  you especially want a good doctor if you are going to have surgery as well.  you want to feel confident going into surgery knowing that you are *** the right thing....because well, it is a big decision and your quality of life is on the line.  hope i have helped a little.




FPO alivein315
Joined May 30, 2009

Fri, May 29, 2009 1:25 PM

 Reply posted for AParson.

Hi.  I am also a 29 y/o female with Crohn's who will be having surgery June 24 for a complete ileostomy.  They will remove the colon, rectum, and anus.  My doctors said there were more complications with the J-Pouch.  Also, you will have 2 or 3 surgerys.  How have has teh ileostomy been for you?  Has it been a major ajustment?  Hope what I have said has helped.  Best of wishes.

FPO clparrott80
Joined Nov 17, 2008

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